Certificate-Of-Need Laws Are Crumbling—And Patients Should Cheer

Tennessee passed SB 1369, phasing out certificate-of-need requirements for most acute-care hospitals by 2030.

Freestanding emergency departments and cardiac catheterization facilities will be exempt sooner, while licensure and Medicaid/charity-care obligations remain.

The move fits a broader national shift away from CON laws that can block new hospitals, surgery centers, equipment, and services.

Supporters say easing these rules could boost competition, improve access, and lower costs, especially in underserved areas.